Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a Collaborative Health Outcomes Information Registry (CHOIR) study.
Identifieur interne : 000112 ( Main/Corpus ); précédent : 000111; suivant : 000113Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a Collaborative Health Outcomes Information Registry (CHOIR) study.
Auteurs : John A. Sturgeon ; Eric A. Dixon ; Beth D. Darnall ; Sean C. MackeySource :
- Pain [ 1872-6623 ] ; 2015.
English descriptors
- KwdEn :
- Activities of Daily Living, Adolescent, Adult, Aged, Aged, 80 and over, Anger, Chronic Pain (physiopathology), Chronic Pain (psychology), Depression (psychology), Female, Humans, Interpersonal Relations, Male, Middle Aged, Patient Outcome Assessment, Personal Satisfaction, Registries, Role, Social Behavior, Stress, Psychological (psychology), Surveys and Questionnaires, Tertiary Care Centers, Young Adult.
- MESH :
- physiopathology : Chronic Pain.
- psychology : Chronic Pain, Depression, Stress, Psychological.
- Activities of Daily Living, Adolescent, Adult, Aged, Aged, 80 and over, Anger, Female, Humans, Interpersonal Relations, Male, Middle Aged, Patient Outcome Assessment, Personal Satisfaction, Registries, Role, Social Behavior, Surveys and Questionnaires, Tertiary Care Centers, Young Adult.
Abstract
Individuals with chronic pain show greater vulnerability to depression or anger than those without chronic pain, and also show greater interpersonal difficulties and physical disability. The present study examined data from 675 individuals with chronic pain during their initial visits to a tertiary care pain clinic using assessments from Stanford University's Collaborative Health Outcomes Information Registry (CHOIR). Using a path modeling analysis, the mediating roles of Patient-Reported Outcomes Measurement Information Systems (PROMIS) Physical Function and PROMIS Satisfaction with Social Roles and Activities were tested between pain intensity and PROMIS Depression and Anger. Pain intensity significantly predicted both depression and anger, and both physical function and satisfaction with social roles mediated these relationships when modeled in separate 1-mediator models. Notably, however, when modeled together, ratings of satisfaction with social roles mediated the relationship between physical function and both anger and depression. Our results suggest that the process by which chronic pain disrupts emotional well-being involves both physical function and disrupted social functioning. However, the more salient factor in determining pain-related emotional distress seems to be disruption of social relationships, than global physical impairment. These results highlight the particular importance of social factors to pain-related distress, and highlight social functioning as an important target for clinical intervention in chronic pain.
DOI: 10.1097/j.pain.0000000000000313
PubMed: 26230739
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pubmed:26230739Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a Collaborative Health Outcomes Information Registry (CHOIR) study.</title><author><name sortKey="Sturgeon, John A" sort="Sturgeon, John A" uniqKey="Sturgeon J" first="John A" last="Sturgeon">John A. Sturgeon</name><affiliation><nlm:affiliation>Stanford University School of Medicine, Department of Anesthesia, Perioperative, and Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dixon, Eric A" sort="Dixon, Eric A" uniqKey="Dixon E" first="Eric A" last="Dixon">Eric A. Dixon</name></author><author><name sortKey="Darnall, Beth D" sort="Darnall, Beth D" uniqKey="Darnall B" first="Beth D" last="Darnall">Beth D. Darnall</name></author><author><name sortKey="Mackey, Sean C" sort="Mackey, Sean C" uniqKey="Mackey S" first="Sean C" last="Mackey">Sean C. Mackey</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26230739</idno><idno type="pmid">26230739</idno><idno type="doi">10.1097/j.pain.0000000000000313</idno><idno type="wicri:Area/Main/Corpus">000112</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000112</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a Collaborative Health Outcomes Information Registry (CHOIR) study.</title><author><name sortKey="Sturgeon, John A" sort="Sturgeon, John A" uniqKey="Sturgeon J" first="John A" last="Sturgeon">John A. Sturgeon</name><affiliation><nlm:affiliation>Stanford University School of Medicine, Department of Anesthesia, Perioperative, and Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dixon, Eric A" sort="Dixon, Eric A" uniqKey="Dixon E" first="Eric A" last="Dixon">Eric A. Dixon</name></author><author><name sortKey="Darnall, Beth D" sort="Darnall, Beth D" uniqKey="Darnall B" first="Beth D" last="Darnall">Beth D. Darnall</name></author><author><name sortKey="Mackey, Sean C" sort="Mackey, Sean C" uniqKey="Mackey S" first="Sean C" last="Mackey">Sean C. Mackey</name></author></analytic><series><title level="j">Pain</title><idno type="eISSN">1872-6623</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anger</term><term>Chronic Pain (physiopathology)</term><term>Chronic Pain (psychology)</term><term>Depression (psychology)</term><term>Female</term><term>Humans</term><term>Interpersonal Relations</term><term>Male</term><term>Middle Aged</term><term>Patient Outcome Assessment</term><term>Personal Satisfaction</term><term>Registries</term><term>Role</term><term>Social Behavior</term><term>Stress, Psychological (psychology)</term><term>Surveys and Questionnaires</term><term>Tertiary Care Centers</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Chronic Pain</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Chronic Pain</term><term>Depression</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anger</term><term>Female</term><term>Humans</term><term>Interpersonal Relations</term><term>Male</term><term>Middle Aged</term><term>Patient Outcome Assessment</term><term>Personal Satisfaction</term><term>Registries</term><term>Role</term><term>Social Behavior</term><term>Surveys and Questionnaires</term><term>Tertiary Care Centers</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Individuals with chronic pain show greater vulnerability to depression or anger than those without chronic pain, and also show greater interpersonal difficulties and physical disability. The present study examined data from 675 individuals with chronic pain during their initial visits to a tertiary care pain clinic using assessments from Stanford University's Collaborative Health Outcomes Information Registry (CHOIR). Using a path modeling analysis, the mediating roles of Patient-Reported Outcomes Measurement Information Systems (PROMIS) Physical Function and PROMIS Satisfaction with Social Roles and Activities were tested between pain intensity and PROMIS Depression and Anger. Pain intensity significantly predicted both depression and anger, and both physical function and satisfaction with social roles mediated these relationships when modeled in separate 1-mediator models. Notably, however, when modeled together, ratings of satisfaction with social roles mediated the relationship between physical function and both anger and depression. Our results suggest that the process by which chronic pain disrupts emotional well-being involves both physical function and disrupted social functioning. However, the more salient factor in determining pain-related emotional distress seems to be disruption of social relationships, than global physical impairment. These results highlight the particular importance of social factors to pain-related distress, and highlight social functioning as an important target for clinical intervention in chronic pain. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26230739</PMID><DateCompleted><Year>2016</Year><Month>09</Month><Day>13</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1872-6623</ISSN><JournalIssue CitedMedium="Internet"><Volume>156</Volume><Issue>12</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Pain</Title><ISOAbbreviation>Pain</ISOAbbreviation></Journal><ArticleTitle>Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a Collaborative Health Outcomes Information Registry (CHOIR) study.</ArticleTitle><Pagination><MedlinePgn>2627-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/j.pain.0000000000000313</ELocationID><Abstract><AbstractText>Individuals with chronic pain show greater vulnerability to depression or anger than those without chronic pain, and also show greater interpersonal difficulties and physical disability. The present study examined data from 675 individuals with chronic pain during their initial visits to a tertiary care pain clinic using assessments from Stanford University's Collaborative Health Outcomes Information Registry (CHOIR). Using a path modeling analysis, the mediating roles of Patient-Reported Outcomes Measurement Information Systems (PROMIS) Physical Function and PROMIS Satisfaction with Social Roles and Activities were tested between pain intensity and PROMIS Depression and Anger. Pain intensity significantly predicted both depression and anger, and both physical function and satisfaction with social roles mediated these relationships when modeled in separate 1-mediator models. Notably, however, when modeled together, ratings of satisfaction with social roles mediated the relationship between physical function and both anger and depression. Our results suggest that the process by which chronic pain disrupts emotional well-being involves both physical function and disrupted social functioning. However, the more salient factor in determining pain-related emotional distress seems to be disruption of social relationships, than global physical impairment. These results highlight the particular importance of social factors to pain-related distress, and highlight social functioning as an important target for clinical intervention in chronic pain. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sturgeon</LastName><ForeName>John A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Stanford University School of Medicine, Department of Anesthesia, Perioperative, and Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dixon</LastName><ForeName>Eric A</ForeName><Initials>EA</Initials></Author><Author ValidYN="Y"><LastName>Darnall</LastName><ForeName>Beth D</ForeName><Initials>BD</Initials></Author><Author ValidYN="Y"><LastName>Mackey</LastName><ForeName>Sean C</ForeName><Initials>SC</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>HHSN271201200728P</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K24 DA029262</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P01 AT006651</GrantID><Acronym>AT</Acronym><Agency>NCCIH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>HHSN 271201200728P</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pain</MedlineTA><NlmUniqueID>7508686</NlmUniqueID><ISSNLinking>0304-3959</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000786" MajorTopicYN="Y">Anger</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059350" MajorTopicYN="N">Chronic Pain</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007398" MajorTopicYN="N">Interpersonal Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063868" MajorTopicYN="N">Patient Outcome Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010549" MajorTopicYN="Y">Personal Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012042" MajorTopicYN="Y">Registries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012380" MajorTopicYN="Y">Role</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012919" MajorTopicYN="Y">Social Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>8</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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